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NPI Code Detail

MEDICARE: JESSICA LEIGH HARRISON NNP-BC

MEDICARE: JESSICA LEIGH HARRISON NNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner24620SC
2363LN0005XCritical Care Neonatal Nurse Practitioner24620SC

General Provider Information

NPI Number : 1497347009
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEIGH HARRISON NNP-BC
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-4321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 MCCLENNAN BANKS DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-1164
Country : US
Telephone Number : 843-792-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 04/11/2024

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